半比目鱼肌瓣桥式移植修复小腿下端软组织缺损  

Repairing soft tissue defect coverage in lower leg with a bridge shaped medial hemisleus muscle flap transplantation

作　　者：张功林[1] 甄平[1] 陈克明[1] 张军华[1] 王世勇[1] 

机构地区：[1]兰州军区总医院骨科研究所,甘肃兰州730050

出　　处：《中国骨伤》2013年第8期624-626,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨半比目鱼肌瓣桥式带蒂移植修复小腿下端软组织缺损临床应用结果。方法:自2008年1月至2012年1月,应用半比目鱼肌瓣桥式移植修复小腿下端软组织缺损12例,男8例,女4例;年龄22～50岁,平均为34岁;伤后时间2～6周,平均3.5周。肌瓣表面行Ⅰ期中厚网状游离植皮,供区直接缝合。结果:肌瓣全部成活。术后随访1.8～4年,平均为2.8年。胫、腓骨骨折全部愈合,受区外形较好。下肢功能按LEM标准评定,优6例,良5例,尚可1例。结论:这种技术很适宜当伤肢仅有1条主要血管时伴有软组织缺损的修复,减轻了对供区的损伤。Objective：To summarize clinical application results of repairing soft tissue defect in lower leg with a bridge shaped medial hemisleus muscle flap pedicle transplantation. Methods：From January 2008 to January 2012,12 patients with soft-tissue defect in lower leg underwent reconstruction with a bridge shaped medial hemisleus muscle flap pedicle transplantation. There were 8 males and 4 females with an average age of 34 years old ranging from 22 to 50 years old. Time after injury was from 2 to 12 weeks （means,3.5 weeks ）. The immediate coverage of the muscle flaps were performed by a meshed split thickness skin graft. The donor site was closed directly. Results：All the muscle flaps had survived completely. Follow-up period ranged form 1.8 to 4.0 years （means,2.8 years） postoperatively. The tibia and fibula fractures were confirmed healing. A good contour was confirmed at the recipient area. The results were evaluated with LEM questionnaire ,excellent results were obtained in 6 cases,good in 5 cases and fair in 1 case. Satisfactory clinical results were obtained in 11 cases. Conclusion：This technique is particularly useful for repairing soft tissue defect in the injured leg when only one vessel remains ,and can reduce injury to donor site.

关 键 词：软组织损伤 外科皮瓣 修复外科手术 胫骨骨折 

分 类 号：R687.3[医药卫生—骨科学]